20040234 Ver 1_Complete File_20040202

O~~"Or.: ~~MI t:/y.oc-
(is '."y
-- r
> . -
.;.... . . . -I
o "<;

IVm;nael r. nasley, uuvemur
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources

Alan W. Klimek, P.E., Director
Division of Water Quality
Coleen H. Sullins, Deputy Director
Division of Water Quality

February 24, 2004
Orange County
DWQ Project #: 04-0234

APPROVAL of 401 Water Quality Certification and AUTHORIZATION CERTIFICATE

Summit Hospitality Group, LTD
Attn: Gene Singleton
2200 Summit Park Lane, Suite 2000
Raleigh, NC 27612

Subject Property: Residence Inn of Chapel HIll

Dear Mr. Singleton:

You have our approval, in accordance with the attached conditions, to impact 66 feet of perennial
stream for the purpose of road widening as you described in your application dated February 9, 2004.
After reviewing your application, we- have decided that this fill is covered by General Water Quality
Certification Number 3404, which, may be viewed on our website at
http://h20.enr.state.nc.us/ncwetlands.'This certificatipn allows you to use Nationwide,P~fn;ritNulJ1ber
14 when the Corps of Engineers issues it. In addition, you should get any other federal,' state or local
permits before you go ahead with your project including (but not limited to) Sediment and ErQsion
Control, Coastal Stormwater, Non-Discharge and Water Supply Watershed regulations.' This approval
will expire when the accompanying 404 or CAMA permit expires unless otherwise specified in the
General Certification.

This approval is only valid for the purpose and design that you described in your application except as
modified below. If you change your project, you must. notify us and you may be required to send us a
new application. If the property is sold, the new owner must be given a copy of this Certification and
approval letter and is thereby responsible for complying with all conditions. If total wetland fills for
this project (now or in the future) exceed one acre, compensatory mitigation may be required as
described in 15A NCAC 2H .0506 (h) (6) and (7). This approval shall expire when the corresponding
Nationwide Permit expires or as otherwise provided in the General Certification. For this approval to
be valid, you must follow the conditions listed in the attached certification and any additional
conditions listed below.

Conditions of Certification:

Certification of Completion

1. Upon completion of all work approved within the 401 Water Quality Certification or
applicable Buffer Rules, and any subsequent modifications, the applicant is required to return

N. C. Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
[phone] (phone), 919-733-6893 (fax), {http://h2o.enr.state.nc.us/ncwetlands

Page 2
Summit Hospitality Group, LTD
_ February 24, 2004

the attached certificate of completion to the 401/Wetlands Unit, North Carolina Division of
Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650.

Violations of any condition herein set forth may result in revocation of this Certification and may result
in criminal and/or civil penalties. This Certification shall become null and void unless the above
conditions are made conditions of the Federal 404 and/or coastal Area Management Act Permit.

If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing.
You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written
petition, which conforms to Chapter 150B of the North Carolina General Statutes to the Office of
Administrative Hearings, P.O. Box 27447, Raleigh, N.C. 27611-7447. This certification and its
conditions are final and binding unless you ask for a hearing.

This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water
Act. If you have any questions, please telephone John Dorney at 919-733-1786 or Steve Mitchell at
our Raleigh Regional Office at 919-571-4700

Sincerely,

JRD/bs

, Attachments

cc: Corps of Engineers Raleigh Field Office
Raleigh DWQ Regional Office
File copy
Central Files
Jeff Crisp, Crowley & Associates, 206 Kelly Green Court, Rolesville, NC 27571

206 Kelly Green Court
RobviIIe, NC 27571
919-562-8800

[lL~UITrn[2 (Q)[? u[2illrn~[iY1]DUIT ill~
DATEJlf, )0

Michael A. Crowley, PC

Professional Engineer

ATTENTION

RE:

TO:

(Y\ (", ,.JOhn

0.,,((\( ct

2004

WATER QUALfi Y SECTION
the following items:

WE ARE SENDING YOU

'oo~4
r.;w1(ttached ~ 4 I ~de.r.:separate cover via
o Prints 0 Plans 0 Samples

o Shop drawings
o Copy of letter

o Specifications

o Change order 0

COPIES
,
ry

DATE

NO.

DESCRIPTION

THESE ARE TRANSMITTED as checked below:

urFor approval
o For your use
o As requested

o Approval as submitted
o Approved as noted
o Returned for corrections

o Resubmit
o Submit
o Retum

corrected prints
copies for distribution
corrected prints

o For review and comment 0

o FOR BIDS DUE

19

o PRINTS RETURNED AFTER LOAN TO US

REMARKS

COPY TO

SIGNE~~~/ ilM~

II .nclo.u_ ... not .. notacl. kindly notify u. .t once.

1503.003 - 10127/92

.,

t

"-,~'
401 ISSUED

Crowley & Associates, Inc.
Professional Engineers

2018 SouthMain Street, Suite 8<X5
Wake Forest,NC 27587
919-562-8860

February 9,2004

NCDENR-DWQ ,
Attn: Mr. John Dorney
2321 Crabtree Blvd.
Parkview Building
Raleigh, N.C. 27604

US Anny Corp of Engineers
Attn: Ms. Amanda Jones
6508 Falls ofNeuse Rd., Ste. 120
Raleigh, N.C. 27615

Re: Nationwide Permit 14/4011404 Water Quality Certification
Residence Inn - Chapel Hill
Chapel Hill, Orange County, North Carolina

WETLANDS /401 GROUP
FEe 1 7 2004

(, .&102~j
~JJ ~ . 1jJ':"

The proposed project co~sists of impacts from the widening of Dobbins Dive, an NCDOT
public road, adjacent to the Residence Inn property (Irnpayt #1). The roadway widening
and improvements, are required by the Town of Chapel Bill and NCDOT and will be
constructed per NCDOT requirements. The project is located at the intersection of Ervin .",
Road (SR 1734) and Dobbin Drive (SR 1740). The Residence Inn site is 13.29 acres in
size and consists primarily of mixed pine/hardwood forest with two abandoned homes
with several out buildings. Please refer to the USGS map, which displays the location of
the proposed project. Mr. Todd St. John of the NCDWQ and Crowley & Associates
made a site visit to discuss options for the stream relocation.

The Dobbins Dive roadway widening was designed to meet t~eminimum standards of
NCDOT and to keep channel impacts to the absolute minimum. 'We proposes to eliminate
the 3 foot grass strip between the back of curb . and the sidewalk in the critical area and
.,' '''')t
proposes a 2: 1 slope on the embankmentto,:,'l;,erhlce the impacts 'to the existing stream.
The existing Dobbins Drive runs parallel to the unnamed tributpry of Booker Creek. The
stream meanders to within 6 feet of the existing pavement in a small section. The
NCDOT and Chapel Hill requirements state that Dobbin Drive must be widened to a 24

.
,

foot pavement section "'lith an additional 2.5 feet of curb arid gutter and a sidewalk.
Residence Inn is required to install ~ of the 24 foot pavement section, install curb and
gutter and install a 5 foot. concrete sidewalk on the north side.' The proposed roadway
widening will impact approximately 66 linear feet of a perenni:;tl channel. Approximately
60 feet of the stream channel will be relocated. These impacts ,are detailed in the PCN
form and the attached impact maps.

Current NC DWQ policy requires applicants to avoid and minimize wetland and stream
channel impacts to the nlaximum extent practical and may requite further compensatory
mitigation to offset unavoidable losses of waters of the US when impacts exceed the
requirements for notification (0.10 ac.). The proposed roadway widening is necessary due
to the increase in traffic from this development and from future development. We believe
fmiher compensatory mitigation should not be required by the USACE.

Current NC DWQ policy requires written concurrence for streain impacts of greater or
equal to 150 linear feet of stream per project. We request written concurrence that the
project complies with the 4011404 Water Quality Certification associated with
Nationwide Permit 14.

Current NC DWQ policy does not require wetland or stream mitigation for perennial
stream channel impacts below 1 acre and 150 linear feet per project. Because the roadway
construction will only impact 66 linear feet of stream we believe neither wetland nor
stream mitigation should be required by DWQ. Please note that when fully developed,
the hotel site will contain less than 19% impervious surface area. Therefore the site does
not require a pre-approved storm water plan from DWQ. The hotel site will incorporate
detention and retention ponds, reviewed and approved by the Town of Chapel Hill, to
avoid impact to down stream properties.

Current NC DWQ policy does not require riparian buffer mitigation for road crossings
that impact less than 1/3 acre and 150 linear feet of buffer per crossing. Because the
proposed impacts are below this threshold, we believe buffer mitigation should not be
required by DWQ.

Please contact us if you require any additional information or have questions pertaining
to this submittal. Thank you for your assistance with this development.

Sincerely,

i!tl~ssOciates, Inc.
Jeff Crisp

x- WA r~
o "",,"-''''.'''~ J:j>

O~ ,fP' ,., Oc::.
OJ ~"Y
- \
> .-
- -I
o ~

Pre-Construction Notification (PCN) Application Form

For Section 404 and/or Section 10 Nationwide, Regional and General Permits, Section 401
General Water Quality Certifications, and Riparian Buffer and Watershed Buffer Rules

This form is to be used for projects qualifying for any of the U.S. Army Corps of Engineers' (USACE)
Nationwide, Regional or General Permits as required by Section 404 of the Clean Water Act and/or
Section 10 of the Rivers and Harbors Act, and for the North Carolina Division of Water Quality's
(DWQ) associated General 401 Water Quality Certifications. This form is also to be used for any
project requiring approval under any Riparian Buffer Rules implemented by the N.C. Division of Water
Quality. This form should not be used if you are requesting an Individual 404 Permit or Individual 401
Water Quality Certification. The USACE Individual Permit application form is available online at
http://w\vw.saw.usace.army.mil/wetIands/Pennapp.htm .

The US ACE is the lead regulatory agency. To review the requirements for the use of Nationwide,
Regional or General permits, and to determine which permit applies to your project, please go to the
USACE website at http://www.saw.usace.army.mil/wetlands/regtour.htm. or contact one of the field
offices listed on page 3 of this application. The web site also lists the responsible project manager for
each county in North Carolina and provides additional information regarding the identification and
regulation of wetlands and waters of the U.S.

The DWQ issues a corresponding Certification (General or Individual), and cannot tell the applicant
which 401 Certification will apply until the 404 Permit type has been determined by the USACE.
Applicants are encouraged to visit DWQ's 401/Wetlands Unit website at
http://h2o.enLstate.nc.us/ncwetlands to read about current requirements for the 401 Water Quality
Certification Program and to determine whether or not Riparian Buffer Rules are applicable. The
applicant is also advised to read the full text of the General Certification (GC) matching the specific 404
Permit requested. In some cases, written approval for General Certifications is not required, provided
that the applicant adheres to all conditions of the GC. Applicants lacking access to the internet should
contact DWQ's Central Office in Raleigh at [phone].

Trout Waters Coordination - Special coordination with the North Carolina Wildlife Resources
Commission (NCWRC) is required for projects occurring in any of North Carolina's twenty-five
counties that contain trout waters. In such cases, the applicant should contact the appropriate NCWRC
regional coordinator (listed by county on page 4 of this application) prior to submittal of the application.

Page 1 of 12

Coastal Area Management Act(CAMA) Coordination - If the project occurs in any of North Carolina's
twenty coastal counties (listed on page 4) the applicant should contact the North Carolina Division of
Coastal Management (DCM).DCM will determine whether or not the project is within a designated
Area of Environmental. Concern, in which case DCM will act as the lead permitting agency. In such
cases, DCM will require a CAMA Permit and will coordinate the 404/401,Permits.

The applicant may also choose to coordinate with the United States Fish and Wildlife Service to ensure
that the proposed project will have no impact upon any endangered or threatened species or critical
habitat as regulated by the Endangered Species Act, and the State Historic Preservation Office, NOlih
Carolina Department of Cultural Resources to ensure that the proposed project will have no impact upon
any properties listed or eligible for listing on the National Register of Historic Places. Compliance with
these regulations is required to be eligible for any Department of the Army permit. The addresses for
both agencies are listed on page 3 of this application.

USACE Permits - Submit one copy of this form, along with supporting narratives, maps, data forms,
photos, etc. to the applicable USACE Regulatory Field Office. Upon receipt of an application, the
USACE will determine if the application is complete as soon as possible, not to' exceed 30 days. This
PCN form is designed for the convenience of the applicant to address information needs for all USACE
Nationwide, Regional or General permits, as well as information required for State authorizations,
certifications, and coordination. Fully providing the information requested on this form will result in a
complete application for any of the US ACE Nationwide, Regional or General permits. To review the
minimum amount of information that must be provided for a completePCN for each USACE
Nationwide permit, see Condition 13, 65 Fed. Reg. 12893 (March 9, 2000), available at
http://www.saw.usace.armv.millwetIands/nwpfinalFedReg.pdf. Processing times vary by permit and
begin once the application has been determined to be complete. Please contact the appropriate
regulatory field office for specific answers to permit processing periods.

401 Water Quality Certification or Buffer Rules - All information is required unless otherwise stated
as optional. Incomplete applications will be returned. Submit seven collated copies of all USACE
Permit materials to the Division of Water Quality, 40l/Wetlands Unit, 1650 Mail Service Center,
Raleigh, NC, 27699-1650. If written approval is required or specifically requested for a 401
Certification, then a non-refundable application fee is required. In brief, if project impacts include less
than one acre of cumulative wetland/water impacts and less than 150 feet cumulative impacts to
streams, then a fee of $200 is required. If either of these thresholds is exceeded, then a fee of $475 is
required. A check made out to the North Carolina Division of Water Quality, with the specific name of
the project or applicant identified, should be stapled to the front of the application package. For more
information, see the DWQ website at http://h20.chnr.state.nc.us/ncwet!ands/f~es.htm1. The fee must be
attached with the application unless the applicant is a federal agency in which case the check may be
issued from a separate office. In such cases, the project must be identifiable on the U.S. Treasury check
so that it can be credited to the appropriate project. If written approval is sought solely for Buffer Rules,
the application fee does not apply, and the applicant should clearly state (in a cover letter) that only
Buffer Rule approval is sought in writing. Wetlands or waters of the U.S. may not be impacted prior to
issuance or waiver of a Section 401 Water Quality Certification. Upon receipt of a complete application
for a 401 Certification, the Division of Water Quality has 60 days to prepare a written response to the
applicant. This may include a 401 Certification, an on-hold letter pending receipt of additional
requested information, or denial.

Page 2 of 12

US Army Corps Of Engineers Field Offices and County Coverage
Asheville Regulatory Field Office Alexander Caldwell Haywood McDowell Swain
US Army Corps of Engineers Alleghany Catawba Henderson Mecklenburg Transylvania
151 Patton A venue Ashe Cherokee Iredel1 Mitchell Union
Room 208 A very Clay Jackson Polk Watauga
Asheville, NC 28801-5006 Buncombe Cleveland Lincoln Rowan Yancey
Telephone: [phone] Burke Gaston Macon Rutherford
Fax: [phone] Cabarrus Graham Madison Stanley
Raleigh Regulatory Field Office Alamance Franklin Nash Surry
US Army Corps Of Engineers Caswell Forsyth Northampton Vance
6508 Falls of the Neuse Road Chatham Granville Orange Wake
Suite 120 Davidson Guilford Person Wan-en
Raleigh, NC 27615 Davie Halifax Randolph Wilkes
Telephone: [phone] Durham Johnston Rockingharn Wilson
Fax: [phone] Edgecombe Lee Stokes Yadkin
Washington Regulatory Field Office Beaufort CmTituck Jones Pitt
US Army Corps Of Engineers Bertie Dare Lenoir Tyrrell
Post Office Box 1000 Camden Gates Martin Washington
Washington, NC 27889-1000 Carteret* Green Pamlico Wayne
Telephone: [phone] Chowan Hertford Pasquotank
Fax: [phone] Craven Hyde Perquimans *Croatan National Forest Only
Wilmington Regulatory Field Office Anson Duplin Onslow
US Army Corps Of Engineers Bladen Harnett Pender
Post Office Box 1890 Brunswick Hoke Richmond
Wilmington, NC 28402-1890 Carteret Montgomery Robeson
Telephone: [phone] Columbus Moore Sampson
Fax: [phone] Cumberland New Hanover Scotland

North Carolina State Agencies

Division of Water Quality
401 Wetlands Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
Telephone: [phone]
Fax: [phone]

Division of Water Quality
Wetlands Restoration Program
1619 Mail Service Center
Raleigh, NC 27699-1619
Telephone: [phone]
Fax: [phone]

State Historic Preservation Office
Department Of Cultural Resources
4617 Mail Service Center
Raleigh, NC 27699-4617
Telephone: [phone]
Fax: [phone]

US Fish and Wildlife Service I National Marine Fisheries Service

US Fish and Wildlife Service
Raleigh Field Office
Post Office Box 33726
Raleigh, NC 27636-3726
Telephone: [phone]

US Fish and Wildlife Service
Asheville Field Office
160 Zillicoa Street
Asheville, NC 28801
Telephone: [phone]

National Marine Fisheries Service
Habitat Conservation Division
Pivers Island
Beaufort, NC 28516
Telephone: [phone]

Page 3 of 12

Division of Coastal Management
1638 Mail Service Center
Raleigh, NC 27699-1638
Telephone: [phone]
Fax: [phone]

Western Piedmont Region Coordinator
3855 Idlewild Road
Kernersville, NC 27284-9180
Telephone: [phone]

Mountain Region Coordinator
20830 Great Smoky Mtn. Expressway
Waynesville, NC 28786
Telephone: [phone]
Fax: [phone]

CAMA and NC Coastal Counties

Beaufort
Bertie
BlUnswick
Camden
Carteret

Chowan
Craven
Currituck
Dare
Gates

NCWRC and NC Trout Counties

Alleghany
Ashe
A very
Burke

Buncombe
Cherokee
Clay
Graham
Haywood

Caldwell
Mitchell
Stokes
Surry

Henderson
Jackson
Macon
Madison
McDowell

Heliford
Hyde
New Hanover
Onslow
Pamlico

Watauga
Wilkes

Polk
Rutherford
Swain
Transylvania
Yancey

Pasquotank
Pender
Perquimans
Tyrrell
Washington

APPLICATION FORM BEGINS ON PAGE 5. PLEASE DO NOT SUBMIT PAGES 1- 4.

Page 4 of 12

Office Use Only:

Form Version May 2002

USACE Action ID No. DWQ No.
(If any particular item is not applicable to this project, please enter "Not Applicable" or "N/ A".)

I. Processing

1. Cl:JI6k all of the approval( s) requested for this proj eor(
~ Section 404 Permit ~ Riparian or Watershed Buffer Rules
[];Section 10 Permit D Isolated Wetland Pennit from DWQ
~ 401 Water Quality Certification

2. Nationwide, Regional or General Permit Number(s) Requested:

3. If this notification is solely a courtesy copy because written approval for the 401 Certification
is not required, check here: D

4. If payment into the North Carolina Wetlands Restoration Program (NCWRP) is proposed for
mitigation of impacts (verify availability with NCWRP prior to submittal of PCN), complete
section VIII and check here: D

5. If your project is located in any of North Carolina's twenty coastal counties (listed on page
4), and the project is within a North Carolina Division of Coastal Management Area of
Environmental Concem (see the top of page 2 for further details), check here: D

II. Applicant Information

1. Owner/Applicant Information
Name: Ge.n~ .s'.'UI(~t"\ \ S\,,\MM:+ fbs~:+Af:-I., G...o..&p L.TD
Mailing Address: Z2ot) 5u..Mt"'l:~ p...,K LA~lr . :)'L'.M. 2.coo
fJ\ q,J ~"" , Nc... 'Z -".. I 1.. ·

Telephone Number: q 1<=1 - 27<<=t - :bJD
E-mail Address:AlI.It

Fax Number: 't l1- Z 71- "30 z...C)

2. Agent/Consultant Information (A signed and dated copy of the Agent Authorization letter
must be attached if the Agent has signatory authority for the owner/applicant.)
Name: :rt..~ c...,.~sp
COI?pany Affiliation: C.,.O\.\,)II., i 4.s.s ~ c:: c...J..S , "]:.., t!
MaIlmg Address: ~O) g .So~~\.., ty\~..",\ 5-1............ I :s....: k 80(.,
~Il.t "fh~--si (~ 'Z. 7 5"i 7

Telephone Number: '1 I 't- ,"I. z. - ~s(,Q Fax Number: q L "l- ~Z- ~ ~TZ.
E-mail Address:---J-e-.f~ & ~ro...,\...., CIt.~S..c ~ q6."",,,h\~.I\lt..f ^,.~~

Page 5 of 12

I

III.

Project Information

~') .

Attach a vicinity map clearly showing the location of the' property with respect to local
landmarks such as towns, rivers, and roads. Also provide a detailed site plan showing property
boundaries and development plans in relation to surrounding properties. Both the vicinity map
and site plan must include a scale and north arrow. The spt~cific footprints of all buildings,
impervious surfaces, or other facilities must be included. If pOE',sible, the maps and plans should
include the appropriate USGS Topographic Quad Map and NRCS Soil Survey with the property
boundaries outlined. Plan drawings, or other maps may be inclu<;ied at the applicant's discretion,
so long as the property is clearly defined. For administrative and distribution purposes, the
USACE requires infonuation to be submitted on sheets no larger than 11 by 17-inch fonnat;
however, DWQ may accept paperwork of any size. DWQ; prefers full-size construction
drawings rather than a sequential sheet version of the full-size plans. If full-size plans are
reduced to a small scale such that the final version is illegible, th~ ,applicant will be informed that
the project has been placed on hold until decipherable maps arepdvided.

1. Nameofproject:Je.5~cle.n~ Ia'ln 0+ c.L-i(if?~ ILO
2. T.I.P. Project Number or State Project Number (NCDOT Oniy): tVlA
3. Property IdentificatiollNumber (Tax PIN): 9' c;, - 4a ";"_02.52..

4. Location
County: 0 to o.,,~ t.. Nearest Town: CJI\t.l f'e L U: 11
Subdivision name mclude phase/lot number): NI+
Directions to site (include road numbers, landmarks, etc.): &OM it) 1-.:.~ IS-SOL
~("1 C. ~~I ~:l~! -+G&~ fA ~:1Yh+ 0.,10 s;..w',,, RJ.~
+c.14.. c. I (L q 0\1\ "l b UhJ, ~ n Dr: v~. '11u sir/! QW\ ~ ..5 pc...../1 e I 'tt:. ~tI..., 01'.

5. Site coordinates, if available (UTM or La.t/Long): UTN\ ~7~:7g~%, G 317'13(,1 AJ
(Note - If project is linear, such as a road or utility line, attach a sheet that separately lists the
coordinates for each crossing of a distinct waterbody.)

6. Property size (acres)~_ 13. 2 C1 A-e...

7. Nearest body of water (stream/river/sound/ocean/lake):----.&()~v

Cr~_t.
,

8. River Basin: CQ~~ F!..o't' R.~~c- L~ S. ""-
(Note - this must be one of North Carolina's seventeen designated major river basins. The
River Basin map is available at http://h2o.enr.state.nc.us/admin/maps/.)

9. Describe the existing conditions on the site and general land use in the vicinity of the project
at the time of this application: $-. r'\-, lL. f"C/..N'\~ l" ~~ s PI1J...jO~hhOL(se ~

Page 6 of 12

/

10. Describe the overall project in detail, including the type of equipment to be used:

::-~ ~..t,.; ~:- .~~t ~,<>{ p;...::~;1 wi ;;:~1. ~'i''''' '" .~:;b ~..,\
w~~;~~~.l~ ~4~ u~.:r~~::~i'~. t~~# ~ ~

~J.\. s+.::s;..~... ht:.~ a.1V'c:....~ N'\llol, to sd~ u;,s.-I- ~ Il~oK r;...}- "'ft,...
ce.)G 0, .s~) S~c.~.
11. Explain the purpose of~he pr~posed work:-;- 5:o~o..;e: ~r~ ~ S ~
P(D,,~de.. '4-11u. ~.."'It'^'''' o..f Z>-~~. n ,oJ '" {. 0 r -l,

IV. Prior Project History

If jurisdictional determinations and/or permits have been requested and/or obtained for this
project (including all prior phases of the same subdivision) in the past, please explain. Include
the US ACE Action ill Number, DWQ Project Number, application date, and date permits and
certifications were issued or withdrawn. Provide photocopies of previously issued permits,
certifications or other useful information. Describe previously approved wetland, stream and
buffer impacts, along with associated mitigation (where applicable). If this is a NCDOT project,
list and describe permits issued for prior segments of the same T.I.P. project, along with
construction schedules.
No pc.rtvl:+ h~Vf.. oCU"\ ~tuu.J.c.~ ~ ~'.s Pr-qju.t- prIor -bof"":5
app n r_c..~'r\

V. Future Project Plans

Are any future permit requests anticipated for this project? If so, describe the anticipated work,
and provide justification for the exclusion of this work from the current application.
~

VI. Proposed Impacts to Waters ofthe United States/Waters of the State

It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
wetlands, open water, and stream channels associated with the project. The applicant must also
provide justification for these impacts in Section VII below. All proposed impacts, permanent
and temporary, must be listed herein, and must be clearly identifiable on an accompanying site
plan. All wetlands and waters, and all streams (intennittent and perennial) must be shown on a
delineation map, whether or not impacts are proposed to these systems. Wetland and stream
evaluation and delineation forms should be included as appropriate. Photographs may be
included at the applicant's discretion. If this proposed impact is strictly for wetland or stream
mitigation, list and describe the. impact in Section VIII below. If additional space is needed for
listing or description, please attach a separate sheet.

Page 7 of 12

/

1. Provide a written description of the proposed impacts: ~f&~
~ i"\.t- f"oc~lI.Ji C'.I.'W\~~l...~ ('~V\~~S~~ ~"
9\-t'eON\ C\im t\t\t \ .

~ S''''''~~
LF of

2. Individually list wetland impacts below:

Wetland Impact Area of Located within Distance to
Site Number Type of Impact* Impact 100- year Floodplain * * Nearest Stream Type ofWetland***
(indicate on map) ( acres) (yes/no) (li~eaJ~ feet)
AliA .. ..
-

*

**

***

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: mechanized clearing, grading, fill,
excavation, flooding, ditching/drainage, etc, For dams, separately list impacts due to both stl1.1cture and flooding.
100-Year floodplains are identified through the Federal Emergency Management Agency's (FEMA) Flood Insurance Rate Maps
(FIRM), or FEMA-approved local floodplain maps, Maps are available through the FEMA TVlap Service Center at 1-800-358-9616, or
online at ht!J2://w~v, fCIT1'1.gQY.
List a wetland type that best describes wetland to be impacted (e.g., freshwater/saltvvatermarsh, forested wetland, beaver pond,
Carolina Bay, bog, etc.) Indicate if wetland is isolated (determination of isolation to be made by US ACE only).

List the total acreage (estimated) of all existing wetlands on the property: AI! A-
Total area of wetland impact proposed: AdA..
. .

3. Individually list all intelmittent and perennial stream impacts below:

Stream Impact Length of Average Width Perennial or
Site Number Type of Impact* Impact Stream Name** of Stream Intermittent?
(indicate on map) (linear feet) Before Impact (please specify)
l Q..l \ ~h' \ IUTo.f ~ ~w..~ 5' P...,.. ""'^ .... \
(. (, I t.r.....""'-......
I

*

LIst each impact separately and identify temporary impacts. Impacts include, but are not limited to: culverts and associated rip-rap,
dams (separately list impacts due to both structure and flooding), relocation (include linear feet before and after, and net loss/gain),
stabilization activities (cement wall, rip-rap, crib wall, gab ions, etc,), excavation, ditching/straightening, etc. If stream relocation is
proposed, plans and profiles showing the linear footprint for both the original and relocated stt'eams must be included.
** Stream names can be found on USGS topographic maps, If a stream has no name, list as UT (unnamed tributary) to the nearest
downstream named stream into which it flows. USGS maps are available through the USGS at 1-800-358-9616, or online at
www.ug...Uill..:.. Several internet sites also allow direct download and printing of USGS maps (e,g., WWW.toD07.0nc,ColT1,
ww\v,mapqucst.colT1, etc.).

Cumulative impacts (linear distance in feet) to all streams on site:

~ltJ \

Page 8 of 12

J

4. Individually list all open water impacts (including lakes, ponds, estuaries, sounds, Atlantic
Ocean and any other water ofthe U.S.) below:

Type of Impact*

Name of Water body
(if applicable)

Type of Waterbody
(lake, pond, estuary, sound,
ba , ocean, etc.)

A-

*

List each impact separately and identify temporary impacts. Impacts include, but are not limited to: fill, excavation, dredging,
flooding, drainage, bulkheads, etc.

5. Pond Creation
If construction of a pond is proposed, associated wetland and stream impacts should be
included above in the wetland and stream impact sections. Also, the proposed pond should
be described here and illustrated on any maps included with this application.
Pond to be created in (check all that apply): 0 uplands 0 stream 0 wetlands
Describe the method of construction (e.g., dam/embankment, excavation, installation of
draw-down valve or spillway, etc.): N{ir

Proposed use or purpose of pond (e.g., livestock watering, irrigation, aesthetic, trout pond,
local stormwater requirement, etc.): /VIA

Size of watershed draining to pond:~ Expected pond surface area:--41f4--

VII. Impact Justification (Avoidance and Minimization)

Specifically describe measures taken to avoid the proposed impacts. It may be useful to provide
information related to site constraints such as topography, building ordinances, accessibility, and
financial viability of the project. The applicant may attach drawings of alternative, lower-impact
site layouts, and explain why these design options were not feasible. Also discuss how impacts
were minimized once the desired site plan was developed. If applicable, discuss construction
techniques to be followed during construction to reduce impacts.
T\ou. w"~~'^"~' of Dt>~~,l'\s D,.~v(. :5 r~ft.lin.~ b" ~ ""'"fb....,ft .t
C"'Qt'L I J.l,'lI ~ (bi'\~" (! -H ~ 0+ "1\- .s: .,(... h .....ll, wat h.....
Cc.d\luS+-(.'\ 50 ""''''&-1- ;.;- .f..,L/~.s alb.tlJ --I-t..c.. b",t./(.c~ l'_u.v ~ ~
M', n: M', 2Jo ~ ~ h'l1<<....+ -tb"~ S-N-tf./t"",.

VIII. Mitigation

DWQ - In accordance with 15A NCAC 2H .0500, mitigation may be required by the NC
Division of Water Quality for projects involving greater than or equal to one acre of impacts to
freshwater wetlands or greater than or equal to 150 linear feet of total impacts to perennial
streams.

Page 9 of 12

/

USACE - In accordance with the Final Notice of Issuance and Modification of Nationwide
Pennits, published in the Federal Register on March 9, 2000, mitigation will be required when
necessary to ensure that adverse effects to the aquatic environment are minimal. Factors
including size and type of proposed impact and function and relative value of the impacted
aquatic resource will be considered in determining acceptability of appropriate and practicable
mitigation as proposed. Examples of mitigation that may be appropriate and practicable include,
but are not limited to: reducing the size of the project; establishing and maintaining wetland
and/or upland vegetated buffers to protect open waters such as s~reams; and replacing losses of
aquatic resource functions and values by creating, restoring, enhancing, or preserving similar
functions and values, preferable in the same watershed. "

If mitigation is required for this project, a copy of the mitigation plan must be attached in order
for US ACE or DWQ to consider the application complete for processing. Any application
lacking a required mitigation plan or NCWRP concurrence shall be placed on hold as
incomplete. An applicant may also choose to review the current guidelines for stream restoration
in DWQ's Draft Technical Guide for Stream Work in North Carolina, available at
hap :1/h20. em. state.nc. us/newet lands/ st1'm gi de. htm1.

1. Provide a brief description of the proposed mitigation plan. The description should provide
as much information as possible, including, but not limited to:; site location (attach directions
and/or map, if offsite), affected stream and river basin, type and amount (acreage/linear feet)
of mitigation proposed (restoration, enhancement, creation, or preservation), a plan view,
preservation mechanism (e.g., deed restrictions, conservation easement, etc.), and a
description of the CUlTent site conditions and proposed method, of construction. Please attach
a separate sheet if more space is needed. ,

;;: ~:~... ~:;;~ ~l:7:' :s.. N.~ ~~O~J~~ ~ 4k ~tlC-- !I.~
~- o~ ___~ "___ 5,.J.4 .~_ ~__~. Me. DOT ;.s
T"et"'\i';", ~~,J... ~\J... roA.~ k l.U...'~c.tl ~ ""1,.,'./'( ~pr:{:tG~~b~S.
Ik. 510Pe.s ..+. 1'\.L ~MlunJl, ,.,""'+- ",,:/1 It!U mo.X:m....I..J :^ sJt:f-<.
"'f-O 1'4 d u. c.t ~ ~ h1 pc. c.. t ..Jo f\A... rd oc ... ~ 'hi\. .

2. Mitigation may also be made by payment into the North Carolina Wetlands Restoration
Program (NCWRP). Please note it is the applicant's responsibility to contact the NCWRP at
[phone] to determine availability and to request written approval of mitigation prior
to submittal of a PCN. For additional information regarding the application process for the
NCWRP, check the NCWRP website at http://h20.enr.state.n.c.us/wrp/index.htm. If use of
the NCWRP is proposed, please check the appropriate box on page three and provide the
following information:

Amount of stream mitigation requested (linear feet): HIlt--
Amount of buffer mitigation requested (square feet): AlIA-
Amount of Riparian wetland mitigation requested (acres):N/k
Amount of Non-riparian wetland mitigation requested (acres): NI-t
Amount of Coastal wetland mitigation requested (acres): N/h-

Page 10 of 12

J

IX. Environmental Documentation (required by DWQ)

Does the project involve an expenditure of public (federal/state) funds or the use of public
(federal/state) land? _ /
Yes 0 No UJ'

If yes, does the project require preparation of an environmental document pursuant to the
requirements of the National or North Carolina Environmental Policy Act (NEP A/SEP A)?
Note: If you are not sure whether a NEP A/SEP A document is required, call the SEP A
coordinator at [phone] to review current thresholds for environmental documentation.
Yes D No D

If yes, has the document review been finalized by the State Clearinghouse? If so, please attach a
copy of the NEP A or SEP A final approval letter.
Yes 0 No 0

X. Proposed Impacts on Riparian and Watershed Buffers (required by DWQ)

It is the applicant's (or agent's) responsibility to determine, delineate and map all impacts to
required state and local buffers associated with the project. The applicant must also provide
justification for these impacts in Section VII above. All proposed impacts must be listed herein,
and must be clearly identifiable on the accompanying site plan. All buffers must be shown on a
map, whether or not impacts are proposed to the buffers. Correspondence from the DWQ
Regional Office may be included as appropriate. Photographs may also be inoluded at the
applicant's discretion.

Will the project impact protected riparian buffers identified within 15A NCAC 2B .0233
(Neuse), 15A~C 2B .0259 (Tar-Pamlico), 15A NCAC 2B .0250 (Randleman Rules and
Water Supply B ffer Requirements), or other (please identify )?
Yes No 0 If you answered "yes", provide the following information:

Identify the square feet and acreage of impact to each zone of the riparian buffers. If buffer
mitigation is required calculate the required amount of mitigation by applying the buffer
multipliers.

Impact
(s uare feet

~ ~_bA

t.. 5

7 '7
Zone I extends out 30 fee perpendicular from near bank of channel; Zone
additional 20 feet from the edge of Zone] .

1
2

3
1.5

Zone*

Multiplier

Total

*

Page 11 of 12

/

. ~

, "

If buffer mitigation is required, please discuss what type of mitigation is proposed (i.e., Donation
of Property, Conservation Easement, Riparian Buffer Restoration! Enhancement, Preservation or
Payment into the Riparian Buffer Restoration Fund). Please attach all appropriate information as
identified within 15A NCAC 2B .0242 or .0260.

,"'t - (~.

XI. Stormwater (required by DWQ)

Describe impervious acreage (both existing and proposed) versus total acreage on the site.
Discuss stormwater controls proposed in order to protect surface waters and wetlands
downstream from the property.
I~ ~\ 4ut.yc. lit- -Nt:S~ ~ S 13. z.~ ~c.cu. 6x.:~'1 ~1!pct'__rOol~ ~~.. l5,4-cosi (2, a%,)
p,.,~..~ j~,.,.~~ G~l. oe 10 8t 0%'1 sf. L. e.le ~e)

XII. Sewage Disposal (required by DWQ)

Clearly detail the ultimate treatment methods and disposition (non-discharge or discharge) of
wastewater generated from the proposed project, or available cap'lcity of the subject facility.
1\I\.t. c:.~~ :5: -k ".,~ II bt.. tV.v.'" ~uJCY' ..~i) owASA. '.5
54"': -\Ov1 ~W~_~. ~..<i-ew"'l

XIII. Violations (required by DWQ)

Is this site in violation of DW~Wetland Rules (15A NCAC 2H .0500) or any Buffer Rules?
Yes 0 No IB'

Is this an after-the-fact permit;tt5Plication?
Yes 0 No B' --

XIV. Other Circumstances (Optional):

It is the applicant's responsibility to submit the application sufficiently in advance of desired
construction dates to allow processing time for these permits. However, an applicant may
choose to list constraints associated with construction or sequencing that may impose limits on
work schedules (e.g., draw-down schedules for lakes, dates qssociated with Endangered and
Threatened Species, accessibility problems, or other issues outside of the applicant's control).

/1~ /l .
LLLJ~ 7.9.0'7'
Applican ent Signature Date
(Agent's signature is valid only if an authorization letter from the 8pplicant is provided.)

Page 12 of 12

I

. Burrer 1 OfPIlIOO!1<
Texl SlreelTelll
J'\/Slreels
CJParCflIs
.,',.<<lndexToxt
,"d"
. MllprRoad&
COllnty
Te~l T.........hlpTexl
I~"'~~:o~r'

This map contains parcels prepared for the inventory of real property within
Orange County, and is compiled from recorded deed, plats, and other public
records and data, Users of this map are hereby notified that the aforementioned
public primary information sources should be consulted for verirication of the
information contained on this map, The county and its mapping companies assume
no legal responsibility for the information contained on this map,

N

+

1:10061

Gran e Count GIS

tOOZ/~ 1/1 "'s'lflf9L 1 0000'1 tf8L9=~'lflf~000000'18t6L6f=u'lfl L l=zz.dstqupdjUIo~)'~uozodorMMM.//:dUq
9bS' 8-=N Al2lds!p uoQl2Aala O..ld aUOzodo.L - al6ul2..1penb II!H ladell:>
~~ (E8,~:~:t>8S9M;:~I8t>6L::~ 3It>E8~~O LI w.1~:~ JOluao :ew

~ w~ ~'O p'O S'O G'O r'o 0
*~\J . . . , , ,
~ 'f Ih:~~...\ ~ :~ ~ ~~' - - ~~.~ ~ ~~\2 ~
'. I \l)' 'J'if-j"t?y ..: eo" :'; (l{:;:a
~ J~~~' U rII. ... /' ..~..,~) V tifZl
\~ ~ /:'t;: \ i . ~ ~. .. 'I
" l~ ....... -~(~"io j

I ~~~~ \- . \ \~I 1r\)Ll' ...
1 ___ -";~~.J- i '" "'".. ~)\~ I ~~.:). V~
( "\ · · .-~ (. t/~ 1

~~;- ~S'. ,,_ .; e ~-~~tt~~ ~~
~ ~~ f\. f".-.-"~ I\: II ~ ~
rAJ I ~.-") ,". ../~ ~ '~\.l'lh~
~ ~ J;rr_,.. .~ ~ ..,
p. , ,.~~?' 1 ~ ~
'-,,~ " ~)~ \><~'~i ~~ ~
· --1)) ~ii~r..~ 1'W ~ --~
~O~ ~ ) ~Ji ~\~ ~.~ ,(5 '-=- 5i1~
R~ sf:/~v, ,.-'- ~-, "l\ V f'"' ~ Ii)
~W~\J ~ 't\}\j tt~L!L ~~ .n, . /~>:
I~ l ~.'.~.~~~iI;lAl~~ Ir~ /~ CSJ .

~~('~~ ~l.~( L\ )>~' "q' '!.n~
~.~.. .....~~ .1 ;) y~,JN~~....... [t.: ~...~:. .....I~'tiI.)JIl)....~.-~
....... ~ }7J \ ,. .... '.' "",,- lauo~1 ..-
- ,'. .' . . _ __ _ 'f 1.

~

Z JO 1 ~l5'Bd

d'BJI\[ ;J!qd'B180dol Sjq~A\~ql- ~uozodOl

11"""'11';01\ ,\I"I~"""Ojll"c "Ill ''''''\l~IS I' _~j?'~~?J."".'SII\'!~ P"~I_llu~ s.~~'.l !'''.~ ".ICU.',Ll"'''~

. ZONE 2

\
\

""

\
\

(-- --

\
\
\
~

\
)
/

',,--

I

/
I
I
I
CD
f""
C'\J

I
I
l

'''-''.,

I
I
/
/

/
'- --/

/-- ~

""'"

"-~

I

/
I
(

ZONE 1

CA TION F<bR
OVEMENtS
- VED BY
I
US AfM
S\

J-
f
f

EXISTING EDG
PAVE

/NV 277.5

Residence Inn - Chapel Hill
Summit Hospitality Group L TD
Chapel Hit, Orange County, N.C.

GRAPHIC SCALE
20 0 10 20 40 80
~ I , I I
( IN FEET )
1 inch = 20 ft.

Crowley & Associates, Inc.
Professional Engineers

2018 South Main Street
Suite 806
Wake Forest, NC 27587
919-562-8860

Crowley & Associates, Inc.

\ --- I
\ --_/ - \
" \ I
\1

\

\.

\
\

.\

/
//

,
,_/

,0(;

"-.'"

\

N
o
Z J
f1l /
N /
I

DGd OF FILL SLOPE \ - \,
/ ~ /

~

I
I

I
I
I
/

(t~)
!'''"
c\J
I
!

'--,

"\.
"

"",- --,_/~

/--
, "'"

~

/
/

...........,

'----

I

/
(
I
I
I

EXISTING EDG ,_ OF
PAVEMENT

ZONE 1
DISTURBANCE
(4,604 SF)

ZONE 2
DISTURBANCE
. (2.433 SF)

/NV 277.5

Residence Inn - Chapel Hill
Summit Hospitality Group L TD
Chapel HiI, Orange County, N.C.

GRAPHIC SCALE
20 0 10 20 40 80
.~ I I I I
( IN FEET )
1 inch = 20 ft.

Crowley & Associates, Inc.
Professional Engineers

2018 South Main Street
Suite 806
Wake Forest, NC 27587
919-562-8860

Crowley & Associates, Inc.

\

~\ \
~\\ \ ""
~ \ \

:J 'lh~v~ t\LL~~.~IUI\J r'fr\
~~~~K~~. :~;~~0.~EN~lh'

,

. ZONE 2

/

/
r

I

!
CATION. F(j)R
OVEMENtS
VED B.0'
US A~MY
S\ )
\

EXISTING EDGE OF
PAVEMENT

ZONE 1

Residence Inn - Chapel Hill
Summit Hospitality Group L TD
Chapel Hit, Orange County, N.C:

GRAPHIC SCALE

20 0

~

10

1

20 40

I I

( IN FEET )
1 inch = 20 ft.

80

I

Crowley & Associates, Inc.
Professional Engineers

2018 South Main Street
Suite 806
Wake Forest, NC 27587 '
'919-562-8860 '

Crowley & Associates, Inc.

/NV-277.5

I

(

CATION, F<bR
OVEMENtS
VED B~
US A'J,MY
S\

ZONE 2

\\\
\\\ 0
\\ \
\\\' \ ~.
'\ \\ \ ~
\ \
\ \ '\
i \
\\ \
\ \ \
\ \
\ \ \
\@P ".
\ \ \0 1
\ \ ~ \~ ~
\ \ ~ ,:2- \\
() \If) ~
\ \ ~~. l
\ V~~ ""
. \ \ \ \
\ \
\ \
1RUC oN
END Of CO\ \
\\ (\\\\

EXISTING EDGE OF
PAVEMENT

ZONE 1

Residence Inn -Chapel Hill
Summit Hospitality Group L TD
Chapel HiI, Orange County, N.e..

GRAPHIC SCALE

20 0

~

10

\

20 40

I 1

( IN FEET )
1 inch = 20 ft.

80

I

~ .......
~ '
~
...
- .

~': ~S06L~J g ,
:; \ .. :;
~.. r"7/ "..' ~
-:... t I ... ~
~ ~ ", ~~ N"'" .,' <t- *'
";0: "A '. ~ .....~ ~
~,. ~""4t;.............~"'-,'~
"/llli;.l A. c~ """....
, /1/11/11111\1\\\\

Crowley & Associates, Inc.
Professional Engineers

2018 South Main Street
Suite 806
Wake Forest, NC 27587
'919-562-8860 '

Crowley & Associates, Inc.

\

/NV 277.5

~
M~#1
\

/

/

EXISTING EDGE OF
PAVEMENT

ZONE 1
DISTURBANCE
(4,604 SF)
ZONE 2
. DISTURBANCE
(2,433 SF)

Residence Inn - Chapel Hill
Summit Hospitality Group L TD
Chapel Hit Orange County, N.C.

"

\ ~
\ -
\

~\

, ..-

"

GRAPHIC SCALE

20 0

~

10

I

20 40

I l

( IN FEET )
1 inch ;." 20 ft.

80

I

Crowley & Associates, Inc.
Professional Engineers

2018 South Main Street
Suite 806
Wake Forest, NC 27587
919-562-8860

Crowley & Associates, Inc.